Doctor Name: | GREGORY GERSTEN |
NPI Number: | 1487688214 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036955 |
Business Practice Address: | 385 Main St S Union Square Southbury, CT - 064884240 |
Business Phone Number: | 2032647999 |
Business Fax Number: | 2032647477 |
Mailing Address: | 385 Main St S, Union Square Bldg #1 C O Nvra Imaging Network SOUTHBURY |
State: | CT |
Postal Code: | 064884240 |
Phone Number: | 2032647999 |
Fax Number: | 2032647477 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 036955 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |